Organization Active NPI

Harvest Homecare, LLC

  • Home Health Agency
  • Kannapolis, NC
National Provider Identifier
1740322163
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3483 Issued in NC
Legal business name
HARVEST HOMECARE, LLC
Practice address
208 Nellie Yale PL
Kannapolis, NC 28083-7821
Phone
(704) 932-9357
Fax
(866) 496-6154
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Willie Marie Johnson, RN
Title
Manager
Phone
(704) 932-9357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3483 NC Primary

Addresses

Primary practice location

208 Nellie Yale PL
Kannapolis, NC 28083-7821

Mailing address

208 Nellie Yale PL
Kannapolis, NC 28083-7821
Phone (704) 932-9357

Other identifiers 1

IdentifierTypeStateIssuer
HC3483MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740322163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 NELLIE YALE PL",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280837821",
            "telephone_number": "704-932-9357",
            "fax_number": "866-496-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 NELLIE YALE PL",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280837821",
            "telephone_number": "704-932-9357",
            "fax_number": "866-496-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-932-9357",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC3483",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.